Organization Active NPI

My Relationships Project LLC

  • Clinical Social Worker
  • Royal Oak, MI
National Provider Identifier
1003526922
Registry record updated Jul 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MY RELATIONSHIPS PROJECT LLC
Practice address
25600 Woodward Ave Ste 108
Royal Oak, MI 48067-0944
Phone
(614) 769-7642
NPI assigned
Dec 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Katy Levinson, LMSWNPI 1487140745
Title
Owner
Phone
(614) 769-7642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Clinic/Center 261Q00000X
Developmental Disabilities Clinic/Center 261QD1600X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

25600 Woodward Ave Ste 108
Royal Oak, MI 48067-0944

Mailing address

25600 Woodward Ave Ste 108
Royal Oak, MI 48067-0944
Phone (614) 769-7642

Other identifiers 2

IdentifierTypeStateIssuer
1003526922OtherMITYPE 2 NPI
1487140745MedicaidMI

National Provider Directory

National Provider Directory

Locations

25600 Woodward Ave
Ste 108
Royal Oak, MI 48067
Phone (614) 769-7642

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689379200000",
    "number": "1003526922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25600 WOODWARD AVE STE 108",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670944",
            "telephone_number": "614-769-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25600 WOODWARD AVE STE 108",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670944",
            "telephone_number": "614-769-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY RELATIONSHIPS PROJECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2023-07-15",
        "certification_date": "2023-07-15",
        "status": "A",
        "authorized_official_last_name": "LEVINSON",
        "authorized_official_first_name": "KATY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-769-7642",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI",
            "identifier": "1003526922",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487140745",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.